Publikation

Endophenotyping in idiopathic adult onset cervical dystonia

Wissenschaftlicher Artikel/Review - 23.04.2017

Bereiche
PubMed
DOI
Kontakt

Zitation
Kägi G, Ruge D, Brugger F, Katschnig P, Sauter R, Fiorio M, Tinazzi M, Rothwell J, Bhatia K. Endophenotyping in idiopathic adult onset cervical dystonia. Clin Neurophysiol 2017; 128:1142-1147.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Clin Neurophysiol 2017; 128
Veröffentlichungsdatum
23.04.2017
eISSN (Online)
1872-8952
Seiten
1142-1147
Kurzbeschreibung/Zielsetzung

OBJECTIVE
Idiopathic adult onset cervical dystonia (IAOCD) is considered to be a partially penetrant autosomal dominant genetic condition. Dystonia may result from genetic and environmental factors. In this view, part of the physiology should be an endophenotype stemming from the genetic background. We assessed the most discriminative test to separate patients with IAOCD and healthy controls for further endophenotyping in non-affected 1st degree relatives.

METHODS
We included patients with IAOCD, their 1st degree relatives and healthy controls. Tests performed: (1) Sensory temporal discrimination (visual, tactile, visuo-tactile), (2) Paired pulse paradigms using transcranial magnetic stimulation (TMS), (3) Mental rotation paradigms.

RESULTS
45 patients with IAOCD, 23 healthy controls and 14 non-affected 1st degree relatives were recruited. Visuo-tactile temporal discrimination separated best between controls and patients as well as between controls and 1st degree relatives. 36% of the latter had an abnormal visuo-tactile temporal discrimination. No difference between patients and healthy controls was found for the other paradigms.

CONCLUSIONS
Visuo-tactile temporal discrimination separates controls from patients with IAOCD and its 1st degree relatives. 36% of the latter had abnormal visuo-tactile thresholds supporting the role of visuo-tactile temporal discrimination as an endophenotype for IAOCD.

SIGNIFICANCE
Even though the study was of exploratory design, our findings expand the understanding of endophenotypes in IAOCD.